Form ISR-2

(See circular No. SEBl/HO/MlRSD/MlRSD_RTAMB/P/ClR/2021/655 dated November 03, 2021 on Common and Simplified
Norms for processing investor’s service request by RTAs and norms for furnishing PAN, KYC details and Nomination)

Confirmation of Signature of securities holder by the Banker

1. Bank Name and Branch

2. Bank contact detail

Postal Address

Phone number

E−mail address

3. Bank Account number

4. Account opening date

5. Account holder(s) name(s) 1)

2)

3)

6. Latest photograph of the account holder(s)

1st Holder 2nd Holder 3rd Holder

7. Account holder(s) details as per Bank Records

a) Address

FORM ISR-2 Page 1 of 2

 b) Phone number

c) Email address

d) Signature(s)

1)______________________ 2)______________________ 3)_______________________

Seal of the Bank Signature verified as recorded with the Bank

Signature of Bank Manager

Place: Name of the Bank Manager

Employee Code

Date: E−mail address

FORM ISR-2 Page 2 of 2